HomeMy WebLinkAbout200986 08/30/2011 CITY OF CARMEL, INDIANA VENDOR: 364942 Page 1 of 1
4 ONE CIVIC SQUARE REPUBLIC NATIONAL DIST COMPANY
(i CHECK AMOUNT: $212.85
CARMEL, INDIANA 46032 PO BOX 660357
INDIANAPOLIS IN 46266 -0357 CHECK NUMBER: 200986
CHECK DATE: 8/30/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 893144 -6 212.85 FOOD BEVERAGES
REPUBLIC NATIONAL DISTRIBUTING COMPANY INDIANAPOLIS
P.O. BOX 1602 INDIANAPOLIS, INDIANA 46206 ORDER DESK (317) 636 -4880 1 -800- 772 -7347
IN LIQUOR PERMIT IN WINE PERMIT I P UB l I C N A I ONR ADMINISTRATION (317) 636 -6092 1- 800 562 -7359
INDIANAPOLIS W49 -09133 W49- 15036 3m OWN POINT ,W49 -09133 W49 -15036 EVANSVILLE (812) 867 -7441 1- 800 742 -3910
SOUTH BEND W71 -87478 W71 67479DISTRIB..UTIN.G .COMPANY CROWN POINT (219) 661 -9970 1- 800 552 -4085
CUST 007916 SOUTH BEND (574) 232 -3001 1- 800 552 -2571
LICENSE RR29 -03542 11) 1"I FT. WAYNE /CROWN POINT /SOUTH BEND
CUSTOMER SERVICE 1 -877- 552 257.1
CUST.N OF CARMEL 77 PAGE: e INVOICE NUMBER
OUST. D.B.A.BROOKSHIRE GOLF CLUB i
ADDRESS 12120 BROOKSHIRE PKWY 0011 9 9 11 893144 -6
QOQ9 IN ACCORDANCE WITH INDIANA LAW
CARMEL IN 46032 1150 1151 1150
SPECIAL. PROPER
NUMBER AYMENT SALESMAN 1 151 1 151 1 150 1
INSTRUCTIONS
e
INDICATES TOTAL
CA S ES BTL
027B 2 1 L 12 BELLOWS RUM (LT) 2 11693 665 9.55 .00 9.55 19.10
Y
028B 2 1L 12 BOMBAY SAPPHIRE GIN 94PR 1 19563 215 26.25 .00 26.25 52.50
Y
147A 2 IL 12 CASTILLO RUM SPICE 01 25403 444 9.55 .00 9.55 19.10
Y
007B 1 IL 12 CC 6YR 02 04313 3646 21.38 .00 21.38 21.38
Y.
335n 2 1L 12 FINEST CALL BLOODY MARY 08 28373 500 5.38 .00 5.38 10.76
Y
039E 2 iL 12 JACK DANIELS BLACK LABEL i 2 08573 428 30.50 .00 30.50 61.00
Y
026C 1 1L 12 JIM BEAM BAR BOTTLE 02 011323 1.204 i8.88 .00 18.88 18.88
Y
052C 1 1L 12 MARTINI ROSSI DRY VERMOUTH 03 225523 3572 10.13 .00 10.13 10.13
Y
ON WEDNESDAY, AUGUST 31ST,. OUR OFFICES WILL CLq E AT 5:1 EST
C}UR�, BE CLOSED ON MONDAY, SEPT. STH IN OBSERVANCE OF LABOR DAY
"IA I a I
i
C.O.D. RNDC OTA 212.B5#
IL
1f 1
FULL CASES: 0 007916 CITY OF CARMEL DUE: 09 -09 -11
INVOICE:893144 -6 MT 1 212.85 WINE 10.13 .LIOUOR 191.96
NON -ALC 14.76
RECEIVED BY
CUSTOMER'S INVOICE PLEASE REMIT PAYMENTS TO:
ALL CLAIMS FOR DAMAGES MUST BE M E ON RECEIPT OF GOODS P.O. BOX 660357, INDIANAPOLIS, IN 46266 -0357
VOUCHER NO. WARRANT NO.
ALLOWED 20
Republic National Distributing Company
IN SUM OF
P.O. Box 1602
Indianapolis, IN 46206
$212.85
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1207 893144 -6 42- 390.40 $212.85 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, August 25, 2011
Director, Brooks ire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 199E
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
08/25/11 893144 -6 Wine and Spirits $212.8
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer